DR. CAROLE DOULL BERK PSY.D.
NPI 1629157573
Specialist in Chicago, IL

NPI Status: Active since November 03, 2006

Contact Information

30 N MICHIGAN AVE
SUITE 506
CHICAGO, IL
ZIP 60602
Phone: (312) 630-1943
Fax: (312) 580-1188

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  • Individual
  • Female
  • Specialist
  • PECOS Enrolled
  • Opted-Out Medicare

About CAROLE BERK

This page provides the complete NPI Profile along with additional information for Carole Berk, a provider established in Chicago, Illinois with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1629157573 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1629157573
Provider Name
DR. CAROLE DOULL BERK PSY.D.
Gender
Female
Entity Type
Individual
Location Address
30 N MICHIGAN AVE SUITE 506 CHICAGO, IL 60602
Location Phone
(312) 630-1943
Location Fax
(312) 580-1188
Mailing Address
30 N MICHIGAN AVE SUITE 506 CHICAGO, IL 60602
Mailing Phone
(312) 630-1943
Mailing Fax
(312) 580-1188
Is Sole Proprietor?
Yes
Enumeration Date
11-03-2006
Last Update Date
07-08-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Carole Berk opted out of Medicare effective on 08-26-2019 until 08-26-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
IL
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS Enrollment Status

Carole Berk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-26-2019

  • Opt-Out End Date: 08-26-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. CAROLE DOULL BERK PSY.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629157573, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 2 + 5 + 1 + 4 + 5 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1629157573.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
30 N MICHIGAN AVE, STE 501
CHICAGO, IL 60602
Psychologist (Psychoanalysis)
30 N MICHIGAN AVE, SUITE 1900
CHICAGO, IL 60602
Obstetrics & Gynecology
30 N MICHIGAN AVE, SUITE 1410
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, #917
CHICAGO, IL 60602
Counselor (Mental Health)
30 N MICHIGAN AVE, SUITE 1516
CHICAGO, IL 60602
Marriage & Family Therapist
30 N MICHIGAN AVE, SUITE 1514
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 506
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1922
CHICAGO, IL 60602
Dentist (General Practice)
30 N MICHIGAN AVE, STE. 1821
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1212
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1206
CHICAGO, IL 60602
Podiatrist
30 N MICHIGAN AVE, SUITE 1229
CHICAGO, IL 60602
Social Worker (Clinical)
30 N MICHIGAN AVE, SUITE 1618
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE, SUITE 1819
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1828
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1018
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, SUITE 1103
CHICAGO, IL 60602
Psychiatry & Neurology (Psychiatry)
30 N MICHIGAN AVE, STE 1909
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE, STE 1001
CHICAGO, IL 60602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629157573, enumerated as an "individual" on November 03, 2006.

The provider is located at 30 N MICHIGAN AVE SUITE 506 CHICAGO, IL 60602 and the phone number is (312) 630-1943.

Specialist with taxonomy code 174400000X.